How To Use HCPCS Code C1784

HCPCS code C1784 describes an ocular device used during intraoperative procedures for detached retina. This code is specifically used to identify and bill for the supply of this device. In this article, we will explore the details of HCPCS code C1784, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS C1784?

HCPCS code C1784 is a specific code used to identify an ocular device that is utilized during intraoperative procedures for detached retina. This code is essential for medical coders and billers to accurately document and bill for the supply of this device.

2. Official Description

The official description of HCPCS code C1784 is “Ocular device, intraoperative, detached retina.” This description precisely defines the purpose and usage of this code. The short description for this code is “Enteral supp not otherwise c,” which provides additional information about the nature of the supply.

3. Procedure

1. The provider begins the procedure by preparing the patient for the intraoperative procedure for detached retina.
2. The ocular device identified by HCPCS code C1784 is then carefully inserted into the patient’s eye.
3. The provider ensures that the device is properly positioned and secured to aid in the treatment of the detached retina.
4. Throughout the procedure, the provider closely monitors the patient’s condition and adjusts the device if necessary.
5. Once the procedure is complete, the provider removes the ocular device.

4. When to use HCPCS code C1784

HCPCS code C1784 should be used when documenting and billing for the supply of the ocular device used during intraoperative procedures for detached retina. It is important to ensure that the patient’s medical records clearly indicate the necessity and usage of this device in the treatment of the detached retina.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1784, healthcare providers must ensure that the following documentation requirements are met:

• Accurate and detailed medical records that support the usage of the ocular device during the intraoperative procedure for detached retina.
• Clear indication of the medical necessity for using this specific device.
• Proper coding and identification of HCPCS code C1784 on the claim form.

6. Historical Information and Code Maintenance

HCPCS code C1784 was added to the Healthcare Common Procedure Coding System on January 01, 1985. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. It is important to note that this code has been in use since 1985, highlighting its significance in documenting and billing for the ocular device used during intraoperative procedures for detached retina.

7. Medicare and Insurance Coverage

HCPCS code C1784 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, which means that it is not applicable as HCPCS priced under one methodology. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for additional guidance on coverage and reimbursement for this code.

8. Examples

Here are five examples of scenarios where HCPCS code C1784 should be billed:

1. A patient undergoes an intraoperative procedure for detached retina, and the ocular device identified by HCPCS code C1784 is used during the surgery.
2. A healthcare provider supplies the ocular device to a patient who will undergo an intraoperative procedure for detached retina at a later date.
3. A patient’s medical records clearly indicate the usage of the ocular device during an intraoperative procedure for detached retina, and the healthcare provider bills for the supply of the device.
4. A healthcare facility purchases the ocular device identified by HCPCS code C1784 for use in intraoperative procedures for detached retina.
5. A patient’s insurance plan covers the cost of the ocular device when used during an intraoperative procedure for detached retina, and the healthcare provider bills for the supply of the device.